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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Optimizing Outcomes in Neck Lift Surgery.

Thomas Gerald O'Daniel1

  • 1University of Louisville Department of Surgery (Plastics), Louisville, KY, USA.

Aesthetic Surgery Journal
|February 5, 2021
PubMed
Summary

Deep cervicoplasty significantly reduces neck volume, primarily from subplatysmal structures, to improve neck contouring and optimize facial rejuvenation. This study quantifies volume reduction for better surgical planning.

Area of Science:

  • Plastic Surgery
  • Anatomy
  • Surgical Techniques

Background:

  • Anterior neck volume imbalances require surgical correction for optimal neck-lifting results.
  • Hyoid repositioning is crucial in some neck rejuvenation procedures.

Purpose of the Study:

  • To quantitatively analyze the volumetric impact of managing supraplatysmal and subplatysmal neck structures.
  • To determine the effect of volume reduction on cervical contouring during deep cervicoplasty.

Main Methods:

  • A volume-displacement technique was used to measure removed tissue.
  • 152 patients undergoing deep cervicoplasty were analyzed.
  • Frequencies and volumes of specific anatomical structure modifications were recorded.

Main Results:

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  • Mean total volume removed was 22.3 cm³, with 73% from the subplatysmal plane.
  • Significant reductions were observed in deep fat (96%), submandibular gland (76%), and anterior digastric muscle (70%).
  • Hyoid repositioning via anterior digastric plication occurred in 34% of cases.

Conclusions:

  • Deep cervicoplasty involves substantial volume reduction, predominantly subplatysmal.
  • Objective volumetric data aids in surgical planning for cervicofacial rejuvenation.
  • This analysis provides a foundation for optimizing neck contouring techniques.